CostKits Healthcare, Organized
Login

MRI Cost in South Dakota (2026): Average Prices & What You'll Pay

What does a mri cost in South Dakota?

Expect roughly $2,797 to $3,818 for an mri in South Dakota if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 46 hospitals is $3,137. It's built from CMS fee schedules and federally mandated hospital price transparency data.

Where mri costs vary in South Dakota

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

Hospital MRI costs run 2–5× more than independent imaging centers. Most patients never knew they had a choice.

Your personalized cost report includes:

  • ✓ Why the exact same scan costs $400 at one site and $2,200 at another
  • ✓ The separate radiologist bill most patients miss (and how to verify it's in-network)
  • ✓ When contrast adds a charge - and when to ask if you need it
  • ✓ The questions to ask before scheduling that protect you from surprise bills
  • ✓ A real patient billing breakdown, line by line

Free for patients - takes 30 seconds to get.

We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.

Cheapest MRI Providers in South Dakota

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Dunes Surgical Hospital Dakota Dunes, SD $375 -$2,762
2 Prairie Lakes Health Care System Inc. SD $425 -$2,712
3 Critical Care and Rehabilitation Hospital of the Black Hills Rapid City, SD $1,209 -$1,928
4 Sanford Clear Lake Medical Center Clear Lake, SD $1,215 -$1,922
5 Monument Health Network Inc Custer Hospital Custer, SD $1,454 -$1,683
6 Monument Health Network Inc Lead-Deadwood Hospital Deadwood, SD $1,454 -$1,683
7 Monument Health Network Inc Sturgis Hospital Sturgis, SD $1,454 -$1,683

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • Dunes Surgical Hospital is the lowest-cost option at $375 - $2,762 below the state median, just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $3,137, and it's often lower than what insurance pays before your deductible is satisfied.
  • This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.

How where you go changes what you pay for mri

The same mri bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$372–$7,507
  • Facility fee $81–$5,939
  • Professional fee $291–$1,568

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$401–$7,507
  • Facility fee $110–$5,939
  • Professional fee $291–$1,568

Estimated from CMS fee schedules + commercial rate multipliers

Independent Imaging Center
$244–$1,153
  • technical_component $150–$725
  • professional_interpretation $94–$428

Estimated from CMS fee schedules + commercial rate multipliers

Sanford Health and Monument Health are the dominant systems. The Sanford Health network extends across both Dakotas and into Minnesota and Iowa, giving it extraordinary commercial contracting leverage. South Dakota's rural geography - and the Sanford network's reach - means most residents have very limited facility alternatives. MRI pricing has some of the widest site-of-service spreads in all of imaging - hospital outpatient MRIs often cost 4–8× more than the same scan at a freestanding imaging center. With vs. without contrast and body part scanned are separate CPT codes with meaningfully different prices; confirm exactly what was ordered before scheduling. For non-urgent imaging, independent imaging centers offer the same diagnostic quality at a fraction of hospital prices.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (6) report prices above $5,254, including Avera Queen of Peace at $5,939, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $2,956 versus $3,222 inpatient, so where a procedure happens often matters more than which hospital you pick. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Your situation Estimated out-of-pocket
Deductible not yet met ~$3,259
Deductible met - 20% coinsurance ~$652
Out-of-network provider $7,170+

Frequently asked questions: MRI costs in South Dakota

How much does an MRI cost in South Dakota?

Across 46 South Dakota hospitals that publish prices, an MRI ranges from $110 to $11,751, with a median of $3,137. Most facilities fall between $2,616 and $3,648. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an MRI in South Dakota?

Based on declared prices, the lowest-cost facility in our South Dakota data is HURON REGIONAL MEDICAL CENTER at about $81. By metro, Dakota Dunes has the lowest median ($656). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is an MRI so much cheaper at some South Dakota hospitals?

Prices vary up to 106.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In South Dakota, the median cash (self-pay) price is $3,137 versus a median negotiated rate of $1,120 - about 2.8× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for an MRI in South Dakota?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in South Dakota

MRI, elsewhere

Other South Dakota Hospitals for MRI

These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in South Dakota. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
AVERA GETTYSBURG
6057652480
GETTYSBURG, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA GREGORY
6058355190
GREGORY, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6054285431
DELL RAPIDS, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6058358394
GREGORY, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6059972433
FLANDREAU, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6054324538
MILBANK, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6053226400
SIOUX FALLS, SD General Acute Care Hospital $372–$7,507 bundled est.
AVERA MCKENNAN
6058532421
MILLER, SD Critical Access Hospital $372–$7,507 bundled est.
▼ Show 88 more South Dakota hospitals (of 140 registered)
AVERA MCKENNAN
6053225123
SIOUX FALLS, SD General Acute Care Hospital $372–$7,507 bundled est.
AVERA MCKENNAN HOSPITAL AND HEALTH SYSTEM
6053228000
SIOUX FALLS, SD Children's Hospital $372–$7,507 bundled est.
AVERA QUEEN OF PEACE
6059952000
MITCHELL, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA QUEEN OF PEACE
6058543329
DE SMET, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA QUEEN OF PEACE
6059952000
MITCHELL, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA ST MARYS
6052245901
PIERRE, SD General Acute Care Hospital $372–$7,507 bundled est.
AVERA ST MARYS
6052243100
PIERRE, SD Critical Access Hospital $372–$7,507 bundled est.
AVERA ST MARYS
6052243100
PIERRE, SD General Acute Care Hospital $372–$7,507 bundled est.
AVERA ST MARYS
6052245901
PIERRE, SD General Acute Care Hospital $372–$7,507 bundled est.
BENNETT COUNTY HOSPITAL AND NURSING HOME
6056856622
MARTIN, SD Critical Access Hospital $372–$7,507 bundled est.
BENNETT COUNTY RURAL HEALTH CLINIC
6056851660
MARTIN, SD Critical Access Hospital $372–$7,507 bundled est.
BOWDLE HOSPITAL
6052856146
BOWDLE, SD Critical Access Hospital $372–$7,507 bundled est.
CITY OF BROOKINGS
6056969000
BROOKINGS, SD General Acute Care Hospital $372–$7,507 bundled est.
CITY OF BROOKINGS
6056969000
BROOKINGS, SD General Acute Care Hospital $372–$7,507 bundled est.
CITY OF REDFIELD
6054721110
REDFIELD, SD Critical Access Hospital $372–$7,507 bundled est.
CITY OF REDFIELD
6054721110
REDFIELD, SD Critical Access Hospital $372–$7,507 bundled est.
CITY OF REDFIELD
6054721110
REDFIELD, SD Critical Access Hospital $372–$7,507 bundled est.
CITY OF REDFIELD
6054721110
REDFIELD, SD Critical Access Hospital $372–$7,507 bundled est.
COMMUNITY BIRTH GROUP
8003494054
CONDE, SD General Acute Care Hospital $372–$7,507 bundled est.
COMMUNITY MEMORIAL HOSPITAL, INC
6057752631
BURKE, SD Critical Access Hospital $372–$7,507 bundled est.
COMMUNITY MEMORIAL HOSPITAL, INC
6057752631
BURKE, SD Critical Access Hospital $372–$7,507 bundled est.
COTEAU DES PRAIRIES HOSPITAL
6056987647
SISSETON, SD General Acute Care Hospital $372–$7,507 bundled est.
COTEAU DES PRAIRIES HOSPITAL,INC
6056987647
SISSETON, SD General Acute Care Hospital $372–$7,507 bundled est.
DOUGLAS COUNTY MEMORIAL HOSPITAL
6057242159
ARMOUR, SD Critical Access Hospital $372–$7,507 bundled est.
DOUGLAS COUNTY MEMORIAL HOSPITAL
6057242159
ARMOUR, SD Critical Access Hospital $372–$7,507 bundled est.
EAGLE BUTTE INDIAN HEALTH SERVICE
6059642653
EAGLE BUTTE, SD Rural Acute Care Hospital $372–$7,507 bundled est.
EUREKA COMMUNITY & BENEVOLENT HOSPITAL
6052286631
EUREKA, SD Critical Access Hospital $372–$7,507 bundled est.
EUREKA COMMUNITY & BENEVOLENT HOSPITAL
6052842661
EUREKA, SD Critical Access Hospital $372–$7,507 bundled est.
EUREKA COMMUNITY & BENEVOLENT HOSPITAL
6052842661
EUREKA, SD Critical Access Hospital $372–$7,507 bundled est.
EUREKA COMMUNITY BENEVOLANT HOSPITAL
6052842661
EUREKA, SD Critical Access Hospital $372–$7,507 bundled est.
EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION
6052842661
EUREKA, SD Critical Access Hospital $372–$7,507 bundled est.
EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION
6052082661
EUREKA, SD Critical Access Hospital $372–$7,507 bundled est.
EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION
6052842661
EUREKA, SD Critical Access Hospital $372–$7,507 bundled est.
EUREKA COMMUNITY BENEVOLENT HOSPITAL SOOCIATION
6052842661
EUREKA, SD Critical Access Hospital $372–$7,507 bundled est.
FALL RIVER HEALTH SERVICES
6057453159
HOT SPRINGS, SD Critical Access Hospital $372–$7,507 bundled est.
FAULKTON AREA MEDICAL CENTER
6055986262
FAULKTON, SD Critical Access Hospital $372–$7,507 bundled est.
FORT MEADE VAMC
9135784409
HOT SPRINGS, SD General Acute Care Hospital $372–$7,507 bundled est.
FORT MEADE VAMC
9135784409
FORT MEADE, SD General Acute Care Hospital $372–$7,507 bundled est.
FREEMAN REGIONAL HEALTH SERVICES
6059254000
FREEMAN, SD Critical Access Hospital $372–$7,507 bundled est.
FREEMAN REGIONAL HEALTH SERVICES
6059254000
FREEMAN, SD Critical Access Hospital $372–$7,507 bundled est.
FREEMAN REGIONAL HEALTH SERVICES
6059254000
FREEMAN, SD Critical Access Hospital $372–$7,507 bundled est.
HEART HOSPITAL OF SOUTH DAKOTA LLC
6059777000
SIOUX FALLS, SD General Acute Care Hospital $372–$7,507 bundled est.
HOLY INFANT HOSPITAL
6059482262
HOVEN, SD General Acute Care Hospital $372–$7,507 bundled est.
HURON REGIONAL MEDICAL CENTER
6058543329
DE SMET, SD Critical Access Hospital $372–$7,507 bundled est.
HURON REGIONAL MEDICAL CENTER INC
6053536200
HURON, SD Rural Acute Care Hospital $372–$7,507 bundled est.
IHS EAGLE BUTTE
6059642814
EAGLE BUTTE, SD Rural Acute Care Hospital $372–$7,507 bundled est.
INDIAN HEALTH SERVICE
6059647724
EAGLE BUTTE, SD Rural Acute Care Hospital $372–$7,507 bundled est.
INDIAN HEALTH SERVICE
6059643007
EAGLE BUTTE, SD Rural Acute Care Hospital $372–$7,507 bundled est.
INDIAN HEALTH SERVICE
6057472231
ROSEBUD, SD Rural Acute Care Hospital $372–$7,507 bundled est.
INDIAN HEALTH SERVICE
6053552500
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
INDIAN HEALTH SERVICE
6057472231
ROSEBUD, SD General Acute Care Hospital $372–$7,507 bundled est.
INDIAN HEALTH SERVICES
6059643007
EAGLE BUTTE, SD Rural Acute Care Hospital $372–$7,507 bundled est.
INDIAN HEALTH SERVICES
6059643007
EAGLE BUTTE, SD Rural Acute Care Hospital $372–$7,507 bundled est.
LEOLA SCHOOL DISTRICT 44-2
6054393143
LEOLA, SD Rural Acute Care Hospital $372–$7,507 bundled est.
MARSHALL COUNTY MEMORIAL HOSPITAL
6054482253
BRITTON, SD Critical Access Hospital $372–$7,507 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $372–$7,507 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $372–$7,507 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $372–$7,507 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $372–$7,507 bundled est.
MOBRIDGE REGIONAL HOSPITAL
6058453692
MOBRIDGE, SD Critical Access Hospital $372–$7,507 bundled est.
MONUMENT HEALTH NETWORK, INC
6056734150
CUSTER, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH NETWORK, INC.
6056444460
SPEARFISH, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH NETWORK, INC.
6057202400
STURGIS, SD Critical Access Hospital $372–$7,507 bundled est.
MONUMENT HEALTH NETWORK, INC.
6056423113
SPEARFISH, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH NETWORK, INC.
6056444170
SPEARFISH, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH NETWORK, INC.
6057178860
SPEARFISH, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL INC
6057552273
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC
6057552273
BOX ELDER, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6053423280
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057552273
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6053423280
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057191000
RAPID CITY, SD Children's Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057554060
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6053423280
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057557700
SPEARFISH, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057557700
SPEARFISH, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057910602
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057554855
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
6057552273
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
OGLALA SIOUX TRIBE OTITIS MEDIA
6058673004
PINE RIDGE, SD Rural Acute Care Hospital $372–$7,507 bundled est.
PHILIP HEALTH SERVICES, INC.
6058592511
PHILIP, SD Critical Access Hospital $372–$7,507 bundled est.
PINE RIDGE IHS
6058675131
PINE RIDGE, SD General Acute Care Hospital $372–$7,507 bundled est.
PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES
6053265161
VIBORG, SD Critical Access Hospital $372–$7,507 bundled est.
PLATTE COMMUNITY MEMORIAL HOSPITAL INC
6053373364
PLATTE, SD Critical Access Hospital $372–$7,507 bundled est.
PLATTE COMMUNITY MEMORIAL HOSPITAL INC
6053373364
PLATTE, SD Critical Access Hospital $372–$7,507 bundled est.
PRAIRIE LAKES HEALTH CARE SYSTEM INC
6058827000
WATERTOWN, SD Rural Acute Care Hospital $372–$7,507 bundled est.
RAPID CITY IHS HOSPITAL
6053552282
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.
RAPID CITY INDIAN HEALTH SERVICE HOSPITAL
6053552500
RAPID CITY, SD General Acute Care Hospital $372–$7,507 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

What matters before you schedule

ASC vs. hospital

Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same mri - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.

With vs. without contrast

Which type your doctor orders for this mri changes the billing code, and what you pay. For example: A standard mri with no contrast dye - the most common and lowest-cost version.

This is shoppable

MRI is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.

What to ask before you book

Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for mri before you schedule.


CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in South Dakota

Interested in understanding healthcare costs and managing your medical expenses?

About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

Connect on LinkedIn →

Ready to take control of your healthcare costs?

Use the free cost estimator →  ·  Get your bill screened for free →  ·  See the family plan →

Published July 17, 2026

Track Your Healthcare Costs

Create a free account to save procedures, compare prices, and analyze future medical bills.